JELF Advocacy Scholars Program Application ASPN JELF Advocacy Scholars Program Application Name(Required) First Last Email(Required) Phone(Required) Title:(Required) Division/ Department(Required) Organization/ Institution(Required) Hospital or University Affiliation(Required) Personal Statement(Required)Max. file size: 128 MB.CV(Required)Max. file size: 128 MB.Letter of Support(Required)Max. file size: 128 MB.If selected, I agree to participate in all elements of the Scholars Program (2 Conferences/Courses and mentored ASPN experience), future public policy and advocacy efforts on behalf of the ASPN as an active member of the relevant ASPN Committees and present a summary of your experiences in the program at the ASPN Annual Meeting in your second year as a Scholar.(Required) Yes No
